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De plus, le lavage des mains avant de manger est considéré comme un facteur protecteur. La séroprévalence contre T. gondii dans la population étudiée était courante, ce qui souligne la nécessité de prévenir et de contrôler cette infection. Il s’agit du premier signalement de la séroprévalence contre T. gondii chez les enfants des écoles primaires de la province du Henan.in English, French Title Démonstration de la résistance au comportement de satyrisation chez Aedes aegypti de l’île de La Réunion. Abstract Aedes aegypti et Aedes albopictus sont des vecteurs compétents d’arbovirus, tels que les virus de la dengue et du chikungunya, qui coexistent dans certaines régions, y compris à La Réunion, dans l’Océan Indien. Une interférence sur la reproduction appelée satyrisation a été décrite chez les espèces sympatriques où l’accouplement d’une espèce dominante ne produit pas d’hybrides et donc réduit le succès reproducteur et tend à contrôler la propagation des autres espèces. Ici, nous avons étudié la satyrisation dans des expériences de laboratoire pour fournir des informations sur l’impact potentiel sur Ae. aegypti d’une campagne de lutte contre Ae. albopictus basée sur la technique de l’insecte stérile. Différents croisements d’accouplements ont été utilisés pour tester les effets sympatriques, conspécifiques-interspécifiques et allopatriques de mâles Ae. albopictus irradiés es une zone sympatrique est discutée.Sacral neuromodulation (SNM) has been used for the past 30 years, with significant improvements in the implantation technique and technology over the last several years. Canadian centers were involved with this technique from the very beginning by participating in several multicenter clinical trials and engaging in basic and clinical research. Presently, six Canadian centers continue to have SNM implantation programs.The climate crisis poses the greatest threat to human health this century. Mental health services will be called on to address the psychological consequences of its effects on peoples’ lives, particularly the socially disadvantaged and those on low incomes. However, healthcare systems are also contributors to the climate crisis. This editorial discusses how services can continue to provide care while contributing less to climate change. Specifically, it suggests what services such as forensic mental healthcare, which is constrained by legal, political and resourcing concerns, can do differently.This commentary is in response to a paper published in the Lancet entitled “Progress in adolescent health and well-being tracking 12 headline indicators for 195 countries and territories, 1990-2016” (Peter Azzopardi et al, 2019). We agree with the authors’ overall conclusions that although there has been progress in some health outcomes, health risks and social determinants, the situation has worsened in other areas. Other important messages emerge from studying the data with an adolescent sexual and reproductive health and rights (ASRHR) lens. First, notable – albeit uneven – progress in all the ASRHR indicators has occurred in multi-burden countries. Second, while we cannot assign a cause-effect relationship, it is reasonable to suggest that in addition to secular trends, deliberate global and national investment and action have contributed to and/or accelerated these changes. Third, progress in ASRHR in the multi-burden countries contrasts sharply with increases in rates of tobacco use, binge drinking and overweight and obesity, in all categories of countries. Based on these observations, we submit five implications for action the adolescent health community must recognize the progress made in ASRHR; acknowledge that increasing investment and action in ASRHR has contributed to these tangible results, which has the potential to grow; build on the gains in ASRHR through concerted action and a focus on implementation science; expand the adolescent health agenda in a progressive and strategic manner; and contribute to wider efforts to respond to adolescents’ health needs within the rapidly changing context of the worlds they live in.Objective This study aimed to assess the validity of the psychiatric problems subscale of the Addiction Severity Index (ASI-psych) to ascertain psychiatric comorbidity among individuals participating in randomized controlled trials (RCTs) of substance use disorder (SUD) treatments.Methods The ASI-psych score among 1,660 RCT participants of National Institute of Drug Abuse Clinical Trials Network studies was compared against diagnosis of any serious mental disorder based on the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition (SCID) or Mini-International Neuropsychiatric Interview (MINI). Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and area under the curve (AUC) for detecting any serious mental disorders were estimated by the receiver operating characteristic (ROC) analysis.Results Based on the overall sample, the AUC score for any serious mental disorder was 0.72 (95% confidence interval [CI], [0.69, 0.75]) with the optimal ASI-psych score of 24.6. Asciminib There was no statistically significant difference in AUCs based on the SCID and MINI (χ2 = 0.05, p = .82) or by target drugs of RCTs (χ2 =1.33, p = .72).Conclusions Results support the utility of the ASI in screening for psychiatric comorbidity among patients receiving SUD treatments in RCT settings.As right-wing populist movements make electoral gains around the world, one might expect that resultant policy and legislative reversals against sexual and reproductive health and rights (SRHR) would be mirrored by a similar backlash in United Nations (UN) human rights negotiations. Yet the past five years have seen unprecedented advances for SRHR within the UN Human Rights Council (HRC), treaty bodies, and special procedures. In this article, we provide an overview of SRHR gains and setbacks within the HRC and analyse their broader significance, particularly as socially conservative nation states and non-governmental organisations seek to challenge them. We analyse how states have advanced SRHR in the HRC and examine efforts that states which oppose SRHR have undertaken to limit these advances. In an increasingly hostile political climate, the inter-related legal, technical, and political mechanisms through which human rights are advanced within the UN has helped to mitigate the effects of rapid political reversals. Additionally, the HRC’s emphasis on previously agreed language helps dampen significant changes in resolutions on SRHR.Child maltreatment (CM) is an important public health issue linked to significant physical and mental health complications across the life span. Given the association between CM and health, general practitioners (GPs) and primary care nurses (PNs) are well-placed to identify and respond to this issue and are mandated to report suspected CM in many jurisdictions. Research has found that primary care doctors and nurses need support when responding to CM. This scoping review sought to answer the following question What factors influence GPs and PNs decision to report CM when fulfilling their mandatory reporting duty? By exploring these factors, areas where support is needed were pinpointed. A systematic search was run across four databases Medline (Ovid), PsycINFO, Embase, and CINAHL. Articles that reported on studies conducted in a location that had mandatory reporting legislation specific to CM and had a study population sampled from primary care were included in analysis. Thirty-three articles met the inclusion criteria. This review found that four principal factors influenced the decision to report CM personal threshold of suspicion of abuse, relationship with the family, faith in the child protection system, and education and discussion. We conclude that improving the support and training to address these four areas may be beneficial for GPs and PNs in responding to CM.Background The aim of this study was to evaluate risk factors associated with morbidity and mortality after pneumonectomy in non-small cell lung cancer patients.Methods The study included 107 patients who underwent pneumonectomy for non-small cell lung cancer between January 2013 and December 2018. Prognostic factors affecting mortality and morbidity were investigated.Results The patient group included 10 women (9.3%) and 97 men (90.7%) with a mean age of 59.5 ± 8.5 years. Seventy-three patients (68.2%) underwent standard pneumonectomy and 34 (31.8%) underwent extended pneumonectomy. Nine patients (8.4%) received induction chemotherapy. Complications occurred in 33 patients (30.8%). Complications were classified as surgical, cardiovascular, pulmonary, or infectious. Charlson Comorbidity Index (CCI) > 3 and right-side resection were significant risk factors for the development of complications. The most common complication was atrial fibrillation. Eleven patients developed a bronchopleural fistula. The 30-day postoperative mortality rate was 6.5% (n = 7). Mortality was not associated with any demographic and surgical characteristics other than CCI > 3 (p = .05).Conclusion The results of this study indicate that our pneumonectomy outcomes are acceptable despite high morbidity and mortality rates. Appropriate patient selection for pneumonectomy is as important as complication management. High-comorbidity patients should undergo these procedures in experienced centers.BACKGROUND None of the current therapeutic approaches for management of Graves’ disease have been able to re-establish normal thyroid function in all patients. OBJECTIVE To describe the author’s 35 years of personal experience in the management of Graves’ hyperthyroidism and, in doing so, review current articles published on the long-term medical treatment of hyperthyroidism. METHODS All published articles related to ≥4 years of continuous antithyroid drugs (ATD) treatment were searched. Findings were added and compared to studies published by the authors on the same topic. RESULTS Long-term ATD treatment is effective and safe, both in children and adults, for treatment of hyperthyroidism. Treatment of Graves’ patients with ATD >60 months, causes euthyroidism up to 4 years after discontinuation of ATD in the majority of patients. Long-term ATD therapy is not inferior to radioiodine therapy and may sometimes even be superior in some aspects, i.e. psychological tests and bone mineral densityincluding serum lipid profile, cardiac function, mood, and cognition. CONCLUSIONS Long-term ATD therapy for Graves’ hyperthyroidism is efficient and safe and induces control of hyperthyroidism, without rendering the patient hypothyroid in the majority of patients.Background Iatrogenic ureteral injury (IUI) is a rare but feared complication in pelvic surgery. Prophylactic ureteral catheterization (PUC) is inconsistently used to reduce this risk, however no strong evidence exists for this practice. The objective is to investigate whether prophylactic ureteral catheterization can enhance intraoperative detection of IUI and reduce associated patient morbidity.Methods The database of our tertiary referral hospital was retrospectively queried for ureter repairs due to iatrogenic injuries. The search yielded 845 unique patient files. After application of exclusion criteria and manual review of files, 155 individual cases remained. Statistical analysis was performed on the following parameters timing of ureteral injury discovery, duration until catheter removal and postoperative complications.Results Prophylactic ureteral catheterization was able to significantly enhance intraoperative diagnosis of IUI (OR = 5.09; 95%CI = 2.26-11.48). The number needed to treat is 2.6 patients.